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N ®A-rE- otvAraa~s Public Works Training/Travel Form - -Type of Form: Travel/Training Reimbursement Division: Administration - Name: Kurt Corey Date: 8/26/08 Travel/Training Dates: 8/16-21, 2008 Event Title: APWA National Congress Description and Location of Event: The annual APWA National Congress. in New Orleans, LA.____ If out of state, will it be available within the next 12 months: Yes No Benefits to the Division/City: ? Required for certification ? Direct Work Activity ? Expand Professional Knowledge ? Regulatory Requirement ? City Requirement ? Networking with Peers (choose all that apply) Re "istration/Tuition': City Pays Tuition: ? Yes ? No Estimated/Actual Cost: Hotel Information: Hotel Name: Hilton - NO Riverside Phone: 504-561-0500 City: New Orleans State: LA Zip: 70140 Cost per night: $138.00 x number of nights 5 Actual/Est. Cost $690.00 Airline Information: Vehicle Information: Carrier: American Airlines City Vehicle: Yes Personal Vehicle: Yes Cost: $489.99 Meals: $43 max. per da Total Odometer Reading: Start Breakfast 6 @ $10.00 $60.00 (or approx. miles start to end) End Lunch 6 @ $12.00 $72.00 Total miles:. 0 Dinner 6 @ $17.00 $102.00 Total Expense: $0.00 Incidentals 6 @ $5.00 $30.00 Other Expenses: Total $26A~.00 (Receipts Required) Other/Miscellaneous. Expenses : Parking: Phone: Taxi/Shuttle: $70.00 Internet: Car Rental: Other: Total $70.00 Cit or Emplo ee Time ? Required Training, City Time, City Pays Overtime When Required ? Voluntary Training on Employees/Flex Time Total Expenses: $1,513.99 Reimbursement to Emplo ee: $334.00 Travel_Ex enses To 13e Paid With: City MC Petry Cash ($125 max) Account Codes Amounts Personal CC Pre Paid (POS/PWM) I ~ 3 , Per Diem Travel Reimbursement: Advance Other: ' DO# Employee's Signature: Supervisor's Signat e: Division Manager's ignatur ' ed if ou - to travel): **See "Policy" Shee f r Travel and Reimbursement Policy** **Itemized Receipts Required for All Expenditures Except Per Diem'~* b~~De~~`~D 3~~ ~